Granulomatous mastitis: Gray-scale and color Doppler sonographic findings

✍ Scribed by Engin, G�lg�n; Acuna?, G�lden; Acuna?, B�lent

• Publisher: John Wiley and Sons
• Year: 1999
• Tongue: English
• Weight: 931 KB
• Volume: 27
• Category: Article
• ISSN: 0091-2751
• DOI: 10.1002/(sici)1097-0096(199903/04)27:3<101::aid-jcu1>3.0.co;2-i

✦ Synopsis

Purpose:

We examined the roles of gray-scale and color doppler sonography in the diagnosis of granulomatous mastitis.

Methods:

We retrospectively studied the clinical, mammographic, and sonographic findings in 10 women 24-57 years old (mean age, 35.9+/-13.9 years) who had a histopathologic diagnosis of granulomatous mastitis. all patients underwent gray-scale sonographic examination, and 8 patients were further examined with color doppler imaging. seven patients had previously undergone mammography.

Results:

Mammographic findings were nonspecific in all 7 patients. gray-scale sonographic findings were compatible with mastitis in 6 (60%) of 10 patients. doppler examination showed increased arterial and venous vascularization within and around the lesion in 5 of 8 patients, but the spectral analysis findings were not specific for granulomatous mastitis.

Conclusions:

Neither mammography nor doppler sonography plays a significant role in the differential diagnosis of granulomatous mastitis versus fibroadenoma or carcinoma. gray-scale sonography shows findings specific for granulomatous mastitis in some cases, but all cases require histopathologic confirmation for final diagnosis.